Presentation: 46 yo M with 2 day hx of RUQ pain and n/v. Taking Tylenol for pain. PE: VS NL, appears distressed, + TTP in RUQ and epigastrium Workup: RUQ US: showing sludge in gall bladder, no stones, no pericholecystic fluid and the wall was not thickened. However, the common bile duct was dilated to 8mm …
